DR. ANTONIO ANDREW ALFONSO JR. D.M.D.
NPI 1346655677
Dentist in San Fernando, CA

Q: What is Antonio Alfonso's NPI number?

The NPI number for Antonio Alfonso is 1346655677. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Q: What is Antonio Alfonso's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Antonio Alfonso was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2014PECOS Enrolled

732 MOTT ST # 100-110, SAN FERNANDO, CA 91340(818) 963-5690 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Antonio Andrew Alfonso Jr. D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTONIO ANDREW ALFONSO JR. D.M.D. (NPI 1346655677) is an individual dentist in San Fernando, California, licensed in California (63500) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346655677

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. ANTONIO ANDREW ALFONSO JR.Credential: D.M.D.

Location Address732 MOTT ST # 100-110San Fernando, CA 91340-4237

Mailing Address732 Mott St # 100-110San Fernando, CA 91340-4237 · (818) 963-5690

Phone(818) 963-5690

Sole ProprietorYes

Enumeration DateJune 25, 2014

Last NPPES UpdateApril 21, 2020

NPPES CertifiedApril 21, 2020

✔ NPI 1346655677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 63500

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 63500 (CA)

732 MOTT ST # 100-110, San Fernando, CA 91340

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Other Identifiers 1

Medicaid63500CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Antonio Andrew Alfonso Jr. D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH MARIA GARCIA FNP

Nurse Practitioner (Family)

732 MOTT ST # 100-110
SAN FERNANDO, CA 91340

Los Angeles County (818) 963-5690

MS. BRENDA ELENA SANCHEZ LCSW

Social Worker

732 MOTT ST # 100-110
SAN FERNANDO, CA 91340

Los Angeles County (818) 963-5690

VISHAAL BUCH

Family Medicine

732 MOTT ST # 100-110
SAN FERNANDO, CA 91340

Los Angeles County (818) 963-5690

VERENIZ VILLALOBOS

Social Worker (Clinical)

732 MOTT ST # 100-110
SAN FERNANDO, CA 91340

Los Angeles County (818) 963-5690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Alfonso's NPI number?

The NPI number for Antonio Alfonso is 1346655677. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Antonio Alfonso located?

Antonio Alfonso practices at 732 Mott St # 100-110, San Fernando, CA 91340. The listed phone number is (818) 963-5690.

What is Antonio Alfonso's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Antonio Alfonso enrolled in Medicare?

Yes. Antonio Alfonso is registered in the Medicare PECOS enrollment system.

What insurance does Antonio Alfonso accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Antonio Alfonso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Antonio Alfonso was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.